Individual provider Active NPI

Bryan Leigh, M.D.

  • Therapeutic Radiology Physician
  • San Clemente, CA
National Provider Identifier
1407272669
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
License
G69981 Issued in CA
Practice address
675 Camino de Los Mares
San Clemente, CA 92673-2835
Phone
(949) 248-4547
NPI assigned
Mar 12, 2014
Last updated
Mar 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology Physician 2085R0203X G69981 CA Primary

Addresses

Primary practice location

675 Camino de Los Mares
San Clemente, CA 92673-2835

Mailing address

4378 Arcadia Dr
San Diego, CA 92103-1306
Phone (619) 296-7321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140718001653 CA Practitioner - Radiation Oncology 0446476980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of California, San Francisco School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Laser Center of San DiegoGroup PAC ID 5395748669, 9 clinicians
Stephen William Doggett MD PAGroup PAC ID 9830235217, 5 clinicians

Practice addresses (Care Compare)

319 F St
Suite 102
Chula Vista, CA 91910-2666

4060 4TH Ave
Suite 209
San Diego, CA 92103-2120
Phone (619) 298-9535

573 Wputnam Ave
Porterville, CA 93257-3270
Phone 7145739500714573

Merit-based Incentive Payment System (MIPS)

Final score
53.94 of 100Reported as group
Quality
0
Improvement activities
40
Cost
79.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
69981CAMDPharmacist
G69981CAMDTherapeutic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen William Doggett, M.D. PA CurrentSince Jan 1, 2024 Accepting new patients
Dermatology & Laser Center of San Diego CurrentSince Jan 1, 2024 Accepting new patients
Compassionate Cancer Care Radiation Diagnostics Group Inc Past Accepting new patients

Locations

344 F St
Ste 200
Chula Vista, CA 91910
Phone (619) 476-1200

8860 Center Dr
Ste 300
La Mesa, CA 91942
Phone (619) 462-1670

573 W Putnam Ave
Porterville, CA 93257
Phone (559) 627-9901

4060 4th Ave
Ste 209
San Diego, CA 92103
Phone (619) 298-9535

5333 Hollister Ave
Ste 105
Santa Barbara, CA 93111
Phone (805) 439-6871

5757 Pacific Ave
Ste 228
Stockton, CA 95207
Phone (209) 490-5050

1626 S Court St
Visalia, CA 93277
Phone (559) 583-7546

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1407272669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4378 ARCADIA DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031306",
            "telephone_number": "619-296-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 CAMINO DE LOS MARES",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732835",
            "telephone_number": "949-248-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIGH",
        "first_name": "BRYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "CA",
            "license": "G69981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

Verify at the official NPI Registry.